CGM products and services supported by the #1 reseller CHS.
CGM products and services supported by the #1 reseller CHS.
At Complete HealthCare Solutions, Inc., we believe in empowering providers to take control of their business. Our team of certified healthcare consultants and medical billers are passionate about helping you survive through this cyberattack incident and regain control of your finances.
Change Healthcare can confirm we experienced a cybersecurity issue perpetrated by a cybercrime threat actor who has represented itself to us as ALPHV/Blackcat.
Our experts are working to address the matter and we are working closely with law enforcement and leading third-party consultants, such as Mandiant and Palo Alto Networks, on this attack against Change Healthcare’s systems. We are actively working to understand the impact to members, patients and customers.
Patient care is our top priority, and we have multiple workarounds to ensure people have access to the medications and the care they need. Based on our ongoing investigation, there is no indication that Optum, UnitedHealthcare and UnitedHealth Group systems have been affected by this issue.
We’ve made progress in providing workarounds and temporary solutions to bring systems back online in pharmacy, claims and payments. We continue to be proactive and aggressive with all our systems, and if we suspect any issue with the system, we will immediately take action.
As workarounds continue to be deployed, our latest data shows 90% of claims are flowing uninterrupted. Fast adoption and implementation of additional solutions by payers and providers could increase claims to 95% sometime next week.
While the claims issue is not fully resolved, our goal is total restoration of our systems. We believe full recovery of the medical network will take longer than the pharmacy network. We are encouraging payers and providers experiencing challenges to use the available temporary solutions to get claims flowing again.
For payers exclusive to the Change clearinghouse, we continue to mobilize a new solution to move the Change gateway claims connection to an Optum electronic data interchange (EDI) claims connection. As of March 5, we are implementing this workaround with more than 25 of our large exclusive payers that used the Change managed gateway, and we’re actively working to bring more online every day.
Moving on to providers, we acknowledge there are still a number of providers who are not able to submit claims or receive payment.
Our strong recommendation is for providers and revenue cycle vendors to connect to our EDI option. This will work for the vast majority of providers who cannot submit today. There are some cases where other approaches need to be designed due to connection incompatibility. We regard EDI to be the most expeditious way to help solve this problem. We fully acknowledge that not all functionality will be in place and will create some rework burden, but we are recommending this approach to get claims flowing.
To support these efforts, as of March 5, 2024, we began hosting an ongoing series of webinars on EDI. Our teams are ready to engage and help those payers and providers get claims connections built quickly through this secure and verified platform.
Please connect with your account team if you want to receive support regarding moving to Optum’s EDI claims connections. Click on the client assistance email link in the Quick Links section on the right. Our team will respond regarding your specific situation to connect you to the resources and webinars to learn more about the solution.
As we continue to navigate this issue, we encourage you to execute your continuity plans with clearinghouses and continue to use payer portals for claims submission, status and eligibility.
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